Individual
KEITH LOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 S MAIN ST, LAKEPORT, CA 95453-5017
(707) 994-5486
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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